结核性胸膜炎处理不当 ,容易发生包裹性积液及胸膜肥厚、粘连等并发症。为提高疗效 ,改善预后 ,作者采用胸膜腔灌洗疗法治疗结核性渗出性胸膜炎 40例 ,取得显著效果 ,现报告如下。1　临床资料与方法病例选择标准 :①有发热、胸痛、咳嗽、乏力等结核中毒症状及胸腔积液的体征 ; Tuberculous pleurisy improper handling, prone to encapsulated fluid and pleural thickening, adhesions and other complications. In order to improve the curative effect and improve the prognosis, the author uses pleural cavity irrigation therapy in 40 cases of tuberculous exudative pleurisy, and achieved remarkable results, are as follows. 1 Clinical data and methods Case selection criteria: ① have fever, chest pain, cough, fatigue and other symptoms of tuberculosis and pleural effusion signs;